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Include the member’s spouse and test children in the FTG. Test children include the member’s minor natural or adoptive children. Do not include the member’s stepchildren in the FTG. Do not count the income or assets of the test children. This page last updated in Release Number: 24-02 Release Date: 08/22/2024 Effective Date: 08/01/2024 26.3 Nonfinancial Requirements 26.3.1 Medicaid Purchase Plan Nonfinancial Requirements Introduction Members must: • Meet general Medicaid nonfinancial requirements (see SECTION 4.1 WHO IS NONFINANCIALLY ELIGIBLE FOR MEDICAID?). • Be at least 18 years old (there is no maximum age limit). • Be determined disabled, presumptively disabled, or MAPP-disabled by the DDB, regardless of age (see SECTION 5.2 DETERMINATION OF DISABILITY and SECTION 5.10 MEDICAID PURCHASE PLAN DISABILITY). • Be meeting or exempt from the work requirement (see SECTION 26.3.3 WORK REQUIREMENT and SECTION 26.3.4 WORK REQUIREMENT EXEMPTION). 26.3.2 Disability Disability is a non-financial eligibility requirement for MAPP, even for members who are age 65 and older. DDB must certify disability (see SECTION 5.10 MEDICAID PURCHASE PLAN DISABILITY). There is no requirement that a member be a current or former SSI or SSDI beneficiary to qualify for MAPP. Earned income is not used as evidence in MAPP disability determinations. If an applicant or member does not have a disability determination from DDB, complete the disability application process outlined in SECTION 5.3 DISABILITY APPLICATION PROCESS even if the applicant or member is age 65 or older (unless the applicant or member fits the policy on converting from SSDI to SSRE). The rest of the MAPP application must be completed at this time, and MAPP eligibility can only be pending for the disability determination before the MADA will be sent to DDB through the automated process (see Process Help Section 12.13 Automated Medicaid Disability Determination). Applicants and Members Converting from SSDI to SSRE An applicant or member whose SSDI or any other disability-related Old Age, Survivors and Disability Insurance (OASDI or Title II) benefits stopped because they began receiving SSRE is considered to have met the disability requirement for all types of EBD Medicaid, including MAPP. A disability re- determination is not required. The member is not required to provide verification of the disability unless the worker is not able to use data exchanges or other information from the Social Security Administration (SSA) to confirm that the individual received disability payments immediately prior to receiving SSRE. Redeterminations Follow the rules in SECTION 5.7 REDETERMINATION on when to review disability determination.